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� '� <br />,�. ea�� � � 7�,� ,G�— � <br />Acct. No..cs.-��..-,3.1_..�r... <br />. CITY Q� EVE:iETT—Water Dept. <br />Application A'o..l.i.�.l•,.1......... Date..........:�:...i:..:_%.`� ...............19........ <br />Install ................................ inch �vater service pipe <br />Owner.....................�--�---........................................... <br />.................... . <br />Address ................ !�.:2...`{........r �1, r�::: �.� �z :;:� ... ��. . :.. .......................- •- <br />Lot.............................................................. Block No - - <br />Addition........... <br />Contractor....... <br />- ......... <br />............._<_r'.Cf.:.�'.�...'--.................._........:._............... <br />Sl�op <br />� <br />� <br />......_. Rec. No ............................................_. <br />.l.....�.................. <br />By----....._ ............................ :: <'i l � , <br />......."'.... . ...,Y.!.:: �:.4 . <br />uo^rintendent � <br />c✓Q�%' <br />................................................... � � .....---.......................---.......................... ..........- -.. <br />WorkCompleted .......................................................................................... .. <br />. <br />Forem, <br />